JOHNNY KWAN NAM

FAIRFAX, VA
NPI1609941400
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  0401410729)
Enumeration Date2006-11-21
Last Update Date2007-07-08
Business Address
-- JOHNNY KWAN NAM D.D.S.
9561 BRADDOCK RD
FAIRFAX, VA 22032-2539
Phone number: 703-323-6500
Mailing Address
-- JOHNNY KWAN NAM D.D.S.
9561 BRADDOCK RD
FAIRFAX, VA 22032-2539
Phone number: 703-323-6500
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